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1114680105
MILLENNIUM PHYSICIAN GROUP LLC
PORT CHARLOTTE, FL
NPI
1114680105
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Entity Type
Organization
Authorized Contact
MARY HALTIGAN
D Irector Of Revenue Cycle
877-856-3774
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-10-18
Last Update Date
2023-01-18
Business Address
MILLENNIUM PHYSICIAN GROUP LLC
3440 TAMIAMI TRL UNIT 2
PORT CHARLOTTE, FL 33952-8134
Phone number: 941-624-3600
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Mailing Address
MILLENNIUM PHYSICIAN GROUP LLC
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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